AMANDA S MISINCO (NPI# 1477781516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477781516 |
| Entity Type | Individual |
| Full Name | AMANDA S MISINCO |
| Credential | O.D. |
| Practice Address |
4510 E Cactus Rd Jcpenney Optical Phoenix AZ 85032-7702 |
| Mailing Address |
2206 N 24th St Mesa AZ 85213-2245 |
| Practice Telephone | 6029966833 |
| Mailing Telephone | 4804789563 |
| Enumeration Date | 2009-06-28 |
| Last Update Date | 2011-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 1686 | AZ | Eye and Vision Services Providers |
| Street Address |
4510 E CACTUS RD JCPENNEY OPTICAL |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-7702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346261567 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 4510 E Cactus Rd, Phoenix, AZ 85032-7702 | 2006-07-22 |
| 1053767939 | Nationwide Vision Center, LLC | Technician/Technologist | 4510 E Cactus Rd, Inside Jcpenney, Phoenix, AZ 85032-7702 | 2016-05-10 |
| 1801926258 | Carol Rice | Optometrist | 4510 E Cactus Rd, J.c.penny Optical, Phoenix, AZ 85032-7702 | 2007-03-06 |
| 1679615991 | Carol Rice, P.C. | Optometrist | 4510 E Cactus Rd, J C Penney Optical, Phoenix, AZ 85032-7702 | 2007-02-13 |
| 1194871285 | Richard Steven Bratt | Optometrist | 4510 E Cactus Rd, Inside Jcpenney, Phoenix, AZ 85032-7702 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689283830 | Kelsie Stevens | Optometrist | 6815 N 19th Ave Ste 130, Phoenix, AZ 85015-1135 | 2020-07-23 |
| 1134747801 | National Vision Inc | Optometrist | 1838 W Bell Rd, Phoenix, AZ 85023-3480 | 2020-07-09 |
| 1770109282 | Nathan Jones | Optometrist | 6135 N 35th Ave Ste 139, Phoenix, AZ 85017-1953 | 2020-06-20 |
| 1447874755 | Jenna Derubeis | Optometrist | 16515 S 40th St Ste 111, Phoenix, AZ 85048-0559 | 2020-06-02 |
| 1184250383 | Jhajaira Elizabeth Cadenas | Optometrist | 3937 W Northview Ave, Phoenix, AZ 85051 | 2020-03-19 |
| 1659927663 | National Vision Inc | Optometrist | 2805 W Agua Fria Fwy Ste 1, Phoenix, AZ 85027-3940 | 2019-08-15 |
| 1588148993 | Jillian Ralston | Optometrist | 112 W Mcdowell Road, Phoenix, AZ 85003 | 2018-09-20 |
| 1932680618 | Carefree Eyecare | Optometrist | 3170 W Carefree Hwy Ste C3c4, Phoenix, AZ 85086-3205 | 2018-08-22 |
| 1710464417 | Ngoc Le | Optometrist | 1650 E Camelback Rd Ste 160, Phoenix, AZ 85016-3947 | 2018-07-25 |
| 1255826681 | Eric Bradford Vanausdal | Optometrist | 15215 S 48th St Ste 180, Phoenix, AZ 85044-9140 | 2018-06-27 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.